Acta chirurgiae plasticae最新文献

{"title":"Treatment and outcomes of rectus diastasis in post-bariatric patients and postpartum women - a systematic review.","authors":"S Uderzo, E Esposito, F Vampa, M Sapienza, M Faenza, E Grella, G Nicoletti","doi":"10.48095/ccachp2025235","DOIUrl":"10.48095/ccachp2025235","url":null,"abstract":"<p><strong>Background: </strong>Rectus diastasis is an increasing condition determining both cosmetic and functional disability that mostly affects post-bariatric patients and postpartum women. The goal of this study is to provide an updated review of open surgical techniques used for rectus diastasis repair during an abdominoplasty in these two subgroups, their comparative efficacy and eventual differences in the outcomes. Evaluation of the topic: In accordance with Systematic Reviews and Meta-Analyses guidelines, the Pubmed, EMBASE, MEDLINE, the Cochrane and Scholar databases were searched for articles from 2004 to 2024. A total of 47 studies were analysed. Among these, 5 were about one specific subgroup. The plication was done most with permanent sutures. In case of hernia, a repair with mesh was performed with at least &gt; 1 cm of diastasis. There was no statistically significant difference in surgical complication and recurrence rates between post-bariatric and postpartum patients (P ≥ 0.05 and P ≥ 0.05, respectively).</p><p><strong>Conclusions: </strong>In general, surgical repair of rectus diastasis appears to be efficient but there is no evidence or unanimity about one method over another. Moreover, the quality and the number of studies treating the two categories of patients separately in literature so far is too low. Despite the plicature of the rectus muscle during surgical abdominoplasty in association with an eventual herniorrhaphy as principal treatment is known, there is a lack of defined guidelines regarding the correct approach taking into consideration the pathophysiological differences of the two subgroups. Therefore, further prospective studies are necessary in this area to improve the quality of data and reduce the bias.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"235-244"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Large urethral false passage during a routine catheterization - low threshold for better outcome.","authors":"S Kakoti, M De, S S Boro, R Medhi","doi":"10.48095/ccachp2025273","DOIUrl":"https://doi.org/10.48095/ccachp2025273","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"273-274"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience with pediatric and adult cases of ambiguous genitalia reconstructed with a single stage feminizing genitoplasty procedure.","authors":"N Paul, S Adhikari","doi":"10.48095/ccachp20256","DOIUrl":"https://doi.org/10.48095/ccachp20256","url":null,"abstract":"<p><strong>Background: </strong>The surgical procedure of feminizing genitoplasty aims at restoration of normal anatomy and function in various cases of disorders of sexual development with ambiguous genitalia.</p><p><strong>Material and methods: </strong>Between April 2021 and May 2023, 23 patients underwent a single stage feminizing genitoplasty procedure at the department of plastic and reconstructive surgery. All the patients underwent clitoroplasty with partial glans preservation, omega flap vaginoplasty and labioplasty. Cases with only clitoroplasty were excluded from the study. Of these 23 patients, 17 had congenital adrenal hyperplasia and the rest 6 had varying degrees of androgen insensitivity syndrome. The age of the patients ranged from 4 to 23 years and all were raised as females. The mean operating time was around 120 to 150 minutes and average hospitalization period was 7 to 8 days. At follow-up evaluation, no major complications were observed. In all cases the vaginal introitus was located in the physiological position and was of varying size and elastic.</p><p><strong>Conclusion: </strong>This procedure of single stage feminizing genitoplasty enables reconstruction with good cosmetic and functional results not only in children but also in adults presenting with ambiguous genitalia.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limb saving with regenerative medicine tactics - a case report.","authors":"F Contoli Isoldi, L Vieites, A K De Sá Reis, L M Ferreira","doi":"10.48095/ccachp2025111","DOIUrl":"https://doi.org/10.48095/ccachp2025111","url":null,"abstract":"<p><p>Regenerative medicine has gained significant attention due to its diverse strategies for tissue restoration and restructuring. This therapeutic approach combines knowledge from cellular biology, tissue engineering, and translational medicine, providing new hope for treating conditions that previously lacked definitive therapeutic options. Although natural tissue regeneration occurs in some organs, such as the liver, and in superficial epidermal injuries, this process is limited. Tissue regeneration involves replacing damaged cells with cells of the same type, fully restoring tissue structure and function, while healing often results in scar tissue that may not have the same functional properties. Given this limitation, regenerative medicine aims to enhance the body's regenerative capacity. The manipulation of growth factors, such as platelet-derived growth factor and vascular endothelial growth factor, has been shown to increase vascularization and cell proliferation. Autologous fat grafting has emerged as a vital tool in regenerative medicine, demonstrating efficacy in promoting tissue regeneration due to its rich composition of mesenchymal stem cells and growth factors. Case studies illustrate that lipografting can improve wound healing in patients with chronic ulcers and contribute to aesthetic and functional outcomes in breast reconstruction. This study reports a case of a 27-year-old male who sustained severe trauma to his left hand in a car accident, resulting in complex injuries. Despite the potential for amputation, the decision was made to preserve the limb. A series of surgical interventions, including necrotic tissue debridement and lipografting, were conducted over several weeks, resulting in significant tissue regeneration. By the fifth week, the wound bed exhibited adequate granulation tissue, and a skin graft was applied, demonstrating successful integration and functional recovery. This case underscores the potential of regenerative medicine techniques, specifically lipografting, in limb salvage and tissue repair. Further research is needed to enhance understanding and application of these strategies in treating complex wounds and improving patient outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anthropometric study of the ear in the Vietnamese adult population.","authors":"N Hong Ha, T T Thanh Huyen, D T Viet Ha","doi":"10.48095/ccachp2025167","DOIUrl":"10.48095/ccachp2025167","url":null,"abstract":"<p><strong>Objective: </strong>External ear reconstructive surgery is often needed due to congenital malformations or acquired traumas, which requires surgeons to comprehend ear norms as morphological variations exist between ethnicities. This study presents the first set of anthropometric data specific to the Vietnamese adult ear.</p><p><strong>Materials and methods: </strong>A cross-sectional study involving 2,000 Vietnamese participants (1,000 women and 1,000 men) aged 18-25 years without a history of ear malformations, trauma, or surgery was conducted. On the left ear, 14 anatomical landmarks were defined, and 13 ear dimensions were measured using a standardized photographic analysis method.</p><p><strong>Results: </strong>The 13 ear dimensions measured on both genders are ear length, ear breadth, ear length above tragus, ear length below tragus, tragus length, concha length, concha breadth, lobule height, lobule width, distance from the tragus to antihelix, distance from the tragus to helix, the measurement between the posterior point of the tragus and a point of the helix, width of the intertragic incisura and depth of the intertragic incisura. Most notably, mean values of ear length, ear breadth, concha length, and concha breadth in female subjects were found to be 58.70 ± 4.20, 29.75 ± 2.53, 26.87 ± 2.27, and 15.92 ± 2.39, respectively. In males, the corresponding values were 63.11 ± 4.95, 30.81 ± 2.97, 29.02 ± 2.64, and 15.96 ± 2.63, respectively.</p><p><strong>Conclusions: </strong>Gender-based differences in left ear morphology were observed, with measurements being higher in males for 10 out of 13 variables. Furthermore, our findings highlight distinctive ear dimensions among Vietnamese individuals compared to other ethnic groups. However, since we only studied the left ear, further research should investigate the dimensions of the right ear and assess symmetry between both sides.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcome of peripheral nerve schwannoma - a case series.","authors":"J K Mishra, A Valsalan, S A Sahu, M De","doi":"10.48095/ccachp2025116","DOIUrl":"https://doi.org/10.48095/ccachp2025116","url":null,"abstract":"<p><p>Schwannomas are the most common peripheral nerve sheath tumors in adults, originating from Schwann cells of the peripheral nerve sheath. These tumors are benign, solitary, non-invasive, and encapsulated, with no gender preference. They are more commonly observed in individuals in their fourth decade of life. In this case series, we present schwannomas arising from various peripheral nerves across different age groups, with varying clinical presentations, and their management without any postoperative functional deficits.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"116-126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From subjective judgment to objective analysis - improving child abuse detection in pediatric burns in the Czech Republic.","authors":"J Bartková, R Ogawa","doi":"10.48095/ccachp2025137","DOIUrl":"https://doi.org/10.48095/ccachp2025137","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"137-138"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior approach to posterior auricular artery in microvascular anastomosis - a new concept in replanting amputated ears - experience from four successful cases and literature review.","authors":"N Hong Ha, T T Thanh Huyen","doi":"10.48095/ccachp2025228","DOIUrl":"10.48095/ccachp2025228","url":null,"abstract":"<p><strong>Introduction: </strong>Auricular amputation is rare but devastating to the patient's aesthetics and psychology. Only about 60 cases of successful microsurgical replantation were reported in the literature. There is currently no complete procedure for auricular replantation, including a recommended operating position.</p><p><strong>Materials and methods: </strong>Four cases of microsurgical auricular replantation from February 2012 to July 2022 were studied. Data included age, cause, duration of ischemia, patient position, sequence of vascular anastomosis, method of arterial/venous anastomosis/grafting, amount of blood transfused, total surgical time, and results.</p><p><strong>Results: </strong>The most frequent causes were traffic accidents (3 cases) followed by violent incidents (1 case). The duration of ischemia ranged from 4 to 14 hours. The supine position and anterior observation for anastomosis were chosen in all cases. All recipient arteries were the posterior auricular artery (diameter 0.4-0.5 mm). Veins were difficult to find, and vein anastomosis could not be achieved in two patients, in which case, leeches for 10-14 days. Blood transfusion volume ranged from 3 to 4 units.</p><p><strong>Conclusion: </strong>An amputated ear is a rare injury. Microsurgical auricular replantation is the optimal choice with unparalleled aesthetic results. The choice of recipient artery is usually branches of the posterior auricular artery. If the vein is anastomosed, the results would be optimal, else chemical or biological leeches are required to treat venous congestion.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"228-234"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-otoplasty keloid scars - treatment strategies and case reports.","authors":"J Stehlík, L Streit, O Košková","doi":"10.48095/ccachp2025268","DOIUrl":"10.48095/ccachp2025268","url":null,"abstract":"<p><p>Keloids represent an abnormal scarring process characterized by excessive collagen proliferation beyond the original wound boundaries. Auricular keloids following otoplasty pose unique clinical challenges due to their high recurrence rate and aesthetic impact. This article reviews the pathophysiology and epidemiology of keloids, with a focus on those arising post-otoplasty. We present two case reports of patients with recurrent auricular keloids managed at our institution, highlighting our multimodal treatment approach. A structured treatment protocol combining silicone therapy, low-level laser therapy, pressure massage, and corticosteroid preparations is proposed, emphasizing early intervention to prevent keloid progression. Our experience underscores the importance of tailored prevention and treatment strategies to mitigate recurrence of keloid scars and improve outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"268-272"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overall and area-specific tactile recovery following different methods of surgical reinnervation in post-mastectomy breast reconstruction - a systematic review and meta-analysis.","authors":"R C Suteja, I G Prawista, A Salim, I K Adiputra, G V Purnama, I P Suryanov, D Junior, I G Diksha, S Christian, G W Samsarga","doi":"10.48095/ccachp2025189","DOIUrl":"10.48095/ccachp2025189","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Breast cancer is a term that encompasses malignancy of any tissue structurally forming the breast. Due to its high prevalence, breast cancer places a significant burden on both patients and the healthcare system. Treatments such as radiotherapy, chemotherapy, hormonal therapy, and mastectomy are developed. Mastectomy is a lifesaving procedure but can cause decreased aesthetic and functional factors. Recent advances in medical technology have thankfully allowed surgeons to use advanced modalities that enable microscopic reconstruction of tissues, vessels, and nerves, giving sensation to the newly reconstructed breast. Surgical reinnervation is a procedure that describes the restoration of neurological function - both sensory and recovery - towards a body part that is lost or damaged. Reinnervation can be achieved both spontaneously and via surgery, hence termed surgical reinnervation. In this study, we review three surgical reinnervation interventions. First, end-to-end reinnervation comes under the neurorrhaphy group. Neurorrhaphy involves anastomosis of residual nerves in the proximal (healthy) and distal (denervated) tissues. Second, nerve allografts come under nerve transplantation. Third, nerve conduits mimic auto-transplantation but with an artificial conductor instead of a nerve donor. This study aims to measure and compare the overall and area-specific tactile recovery following different methods of surgical reinnervation following post-mastectomy breast reconstruction. Evaluation of the topic: This study is a systematic review and meta-analysis written according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Twelve studies used in this review, nine measured the difference between breasts receiving end-to-end nerve coaptation and those receiving no surgical reinnervation. Two studies used allogeneic nerve grafts, while one used polyglycolic acid (PGA) nerve conduit. Coincidentally, these three studies employ Pressure Specified Sensory Device (PSSD) instead of Semmes-Weinstein Monofilament Test to measure tactile recovery. The other nine studies measured tactile recovery using the earlier-found Semmes-Weinstein Monofilament Test (SWMT). Outcome of this study focused on tactile recovery to three interventions. The first group report from end-to-end coaptation, three studies report better outcome compared to flaps without surgical reinnervation. Pooled overall SWMT rod size in breasts with end-to-end nerve coaptation was found to be 3.96 (95% CI 2.96-4.96) with high heterogeneity (I2 94%, P &lt; 0.01). Pooled overall SWMT rod size in breasts without surgical reinnervation was found to be 5.27 (95% CI 4.93-5.60) with high heterogeneity (I2 80%, P &lt; 0.01). The second group report from nerve allograft, two studies report that nerve allograft has a significant effect to tactile recovery. The third group report from nerve conduit, one study report about nerve conduit rei","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"189-202"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}